Serving the Youth of the Edwardsville/Glen Carbon Area
Since 1955
Baseball Player Registration Information Sheet
2017
Official
Document
THIS IS FOR BASEBALL ONLY, NOT SOFTBALL
*Register ONLINE at www.egclla.org
Register in person at the EGCLLA office located in Hoppe Park at 1630 Tower Avenue, Edwardsville, IL
Saturday, February 18: 10am-1pm
656-6148 during registration hours only
Players must currently be in Kindergarten through the 12th grade to participate. No pre-school children please.
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*Only complete this form if registering in person*
MM
DD
YYYY
Player Information: Played in EGCLLA last year: ___ YES DOB _____ / _____ / _______
Last Name_______________________________________
First Name____________________________
Street Address_________________________________________________________________
Pants Size:
YS
(K – 2 only)
AS
YL
YM
YL
City_________________________
Teacher’s Name______________________________
School Name______________________________________
(K – 2 only)
YM
Middle Initial______
Playing select ball this year: ___ YES
Phone Number____________________________________
Shirt Size:
YS
th
(1st – 9 only)
Current
16-17 Gr.
School Grade _____________
YXL
AS
AM
AM
AL
AL
AXL
AXL
AXXL
AXXL
Special Request:____________________________________________________________________________________________
(K - 2nd Grade ONLY)
(not guaranteed) Requests to be placed on a specific team or with a specific player are not allowed in draft leagues (3rd-9th)
___ Team Sponsor:____________________________________________________________________________________________
must submit sponsor registration form and sponsor fee
Parent Information 1:
If coaching please mark one:
Head Coach
Assistant Coach
Parent 1 Name_______________________________________
Relationship to player________________________
Parent 1 Phone 1_____________________________________
Parent 1 Phone 2____________________________
Primary Email Address________________________________________________________________________________________
Parent Information 2:
If coaching please mark one:
Head Coach
Assistant Coach
Parent 2 Name_______________________________________
Relationship to player________________________
Parent 2 Phone 1_____________________________________
Parent 2 Phone 2____________________________
Primary Email Address________________________________________________________________________________________